Device-associated pneumonia of very low birth weight infants in Polish Neonatal Intensive Care Units
PBN-AR
Instytucja
Instytut Ochrony Przyrody Polskiej Akademii Nauk
Źródłowe zdarzenia ewaluacyjne
Informacje podstawowe
Główny język publikacji
angielski
Czasopismo
Advances in Medical Sciences
ISSN
1896-1126
EISSN
1898-4002
Wydawca
Elsevier Sp. z o.o.
DOI
URL
Rok publikacji
2016
Numer zeszytu
1
Strony od-do
90-95
Numer tomu
61
Identyfikator DOI
Liczba arkuszy
0,82
Słowa kluczowe
EN
Very low birth weight newborns
Pneumonia
Device-associated pneumonia
Surveillance
Non fermentative bacilli
Open access
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Inne
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Inna
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Streszczenia
Język
EN
Treść
Purpose Late-Onset Pneumonia (LO-PNEU) is still the most important complication associated with the hospitalization of infants with very low birth weight (<1501 g). The purpose of this paper is to summarize the results of an ongoing surveillance program defining LO-PNEU as associated or not associated with respiratory support in the NICU and distribution of causative pathogens from the Polish Neonatology Surveillance Network (PNSN). Materials and methods Surveillance of infections was conducted in the years 2009–2011 at six Polish NICUs. Results The incidence was 3.1/1000 NICU patient days (pds). The mean gestational age and birth weight among infants with LO-PNEU were significantly lower. The VAP incidence was of 18.2/1000 NICU pds for mechanically ventilated (MV) infants, while the rates for those receiving only CPAP were as low as 7.7/1000 NICU pds. MV significantly increased the risk of PNEU, but MV or CPAP for <10 days did not increase the risk of LO-PNEU. Significantly associated with LO-PNEU was the use of central or peripheral venous catheters and total parenteral nutrition for longer periods. Microorganisms isolated in cases of LO-PNEU were Gram-positive cocci (53.5%) and Gram-negative rods, with predominating E. coli. Non fermentative bacilli were significantly more frequent in cases of VAP than in other cases. Conclusions Observed incidence rates associated with VAP and CPAP-PNEU, were higher than in other national surveillance systems and expressing the feasibility of lowering the risk of LO-PNEU and increasing patient safety. The incidence of pneumonia was found to be lower when using CPAP as compared to using MV.
Inne
System-identifier
PX-586aa91982ce01768f6bce78
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